Occupational workload during a normal workday revealed hypertension in 70% of hotel and restaurant employees, compared to 36% detected by resting blood pressure measurement alone.
Cross-Sectional (n=148)
Does 24-hour ambulatory blood pressure monitoring under working conditions improve the detection of undiagnosed hypertension compared to resting measurement in hotel and restaurant industry employees?
Occupational 24-hour ambulatory blood pressure monitoring reveals a high prevalence of workload-induced hypertension that is missed by resting measurements alone.
Tasa de eventos absoluta: 70% vs 36%
Blood pressure is the most important, modifiable risk factor for cardiovascular diseases. Lifestyle factors and also workload are the main, potential risk factors for the development of hypertension. This study focused on the early detection of unknown hypertension by screening employees in the hotel and restaurant industry (HRI). 148 HRI employees without hypertension (mean age: 34 years, men: 45%) self-measured their blood pressure during rest and for 24 hours of a normal workday. Individuals with a resting blood pressure ≥ 135/85 mmHg were classified as hypertensive. A further analysis investigated whether the currently applicable thresholds for hypertension during work, leisure, and sleep were exceeded on a working day. At rest, 36% of the study participants suffered from hypertension, which increased to 70% under workload and 46% during leisure time and dropped to 8% during sleep. Normal nocturnal dipping (10-20%) occurred only in 18% of cases; 78% were extreme dippers (>20%). Occupational hypertension screening is a suitable component of preventive healthcare. Resting blood pressure measurement alone is insufficient for the early detection of risk individuals and should be supplemented by 24-hour ambulatory blood pressure monitoring under working conditions. The impact of workload on blood pressure needs to be given more attention in the guidelines.
Seibt et al. (Mon,) conducted a cross-sectional in Undiagnosed hypertension (n=148). Occupational workload vs. Rest was evaluated on Hypertension (exceeding applicable blood pressure thresholds). Occupational workload during a normal workday revealed hypertension in 70% of hotel and restaurant employees, compared to 36% detected by resting blood pressure measurement alone.
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